Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,277.00 / $2,080.04 / $3,676.40	Facility		$1,277.00	$2,080.04	$3,676.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.54 / $2,080.04 / $2,499.34	Professional		$1,621.54	$2,080.04	$2,499.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,764.65 / $2,764.65 / $2,764.65	Professional		$2,764.65	$2,764.65	$2,764.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,662.55 / $2,200.42 / $2,200.42	Professional		$1,662.55	$2,200.42	$2,200.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,051.96 / $2,815.99 / $3,561.98	Professional		$2,051.96	$2,815.99	$3,561.98
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $3,179.35 / $3,179.35 / $3,179.35	Professional		$3,179.35	$3,179.35	$3,179.35
United Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $1,056.00 / $2,558.00	Facility		$375.00	$1,056.00	$2,558.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,566.44 / $2,202.17 / $3,477.66	Professional		$1,566.44	$2,202.17	$3,477.66